NPI | 1578072229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001086) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0001086) |
Enumeration Date | 2017-09-26 |
Last Update Date | 2020-04-09 |